NPI | 1356401897 |
---|---|
Entity Type | Organization |
Authorized Contact | SHAWN W ALLEN President 630-522-4060 |
Organization Subpart ? | No |
Primary Taxonomy | 111NX0800X Chiropractor, Orthopedic (Licence: IL 042-618253) |
Enumeration Date | 2006-12-12 |
Last Update Date | 2011-10-06 |